Provider Demographics
NPI:1376767657
Name:MCSWEENEY, MAUREEN (APN-C, RNFA, MSN)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:MCSWEENEY
Suffix:
Gender:F
Credentials:APN-C, RNFA, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 FOXFIRE LN
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08809-2001
Mailing Address - Country:US
Mailing Address - Phone:908-713-9316
Mailing Address - Fax:908-713-9416
Practice Address - Street 1:110 REHILL AVE
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2519
Practice Address - Country:US
Practice Address - Phone:908-685-2940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN08827400363LA2100X
NJ26NO08827400163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Not Answered163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant